Under penalties of perjury, I declare to the best of my knowledge and belief, this return and accompanying schedules reflect my true tax status. Date Your signature Spouse signature (if filing jointly, both must sign even if only one had income) Date SIGN HERE Designee personal ID number (PIN) Designee telephone number Third Party Name of designee (if any) you authorize to discuss this return (page 17) Designee Preparer SSN or PTIN Preparer signature (page 18) Date Preparer telephone number